Healthcare Provider Details

I. General information

NPI: 1326564147
Provider Name (Legal Business Name): CONTINUED CARE NURSING SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2017
Last Update Date: 12/07/2023
Certification Date: 12/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11912 1/2 WILSHIRE BLVD
LOS ANGELES CA
90025-6614
US

IV. Provider business mailing address

PO BOX 4225
PALM DESERT CA
92261-4225
US

V. Phone/Fax

Practice location:
  • Phone: 949-916-5516
  • Fax:
Mailing address:
  • Phone: 949-916-5516
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number773489
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number773489
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number773489
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number773489
License Number StateCA
# 5
Primary TaxonomyN
Taxonomy Code163WA0400X
TaxonomyAddiction (Substance Use Disorder) Registered Nurse
License Number773489
License Number StateCA
# 6
Primary TaxonomyN
Taxonomy Code163WC1600X
TaxonomyContinuing Education/Staff Development Registered Nurse
License Number773489
License Number StateCA
# 7
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number773489
License Number StateCA
# 8
Primary TaxonomyN
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License Number773489
License Number StateCA

VIII. Authorized Official

Name: NATALIE CASSELL
Title or Position: DIRECTOR
Credential: REGISTERED NURSE
Phone: 760-912-6990